Differentiating between natural progesterone and synthetic progestogens: clinical implications for premenstrual syndrome management.
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Biomedical subjects
Publications and source records attributed to D Myers.
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Although tetrameric hemoglobin has been studied extensively as a prototype for understanding mechanisms of allosteric regulation, the functional and structural properties of its eight intermediate ligation forms have remained elusive. Recent experiments on the energetics of cooperativity of these intermediates, along with assignments of their quaternary structures, have revealed that the allosteric mechanism is controlled by a previously unrecognized symmetry feature: quaternary switching from form T to form R occurs whenever heme-site binding creates a tetramer with at least one ligated subunit on each dimeric half-molecule. This "symmetry rule" translates the configurational isomers of heme-site ligation into six observed switchpoints of quaternary transition. Cooperativity arises from both "concerted" quaternary switching and "sequential" modulation of binding within each quaternary form, T and R. Binding affinity is regulated through a hierarchical code of tertiary-quaternary coupling that includes the classical allosteric models as limiting cases.
The density and spatial pattern of immunostained beta/A4 deposits and mature senile plaques (SP) stained by the Glees method were compared in Alzheimer's diseased brain. Thirty-seven percent of the variance in Glees SP density in a tissue could be explained by beta/A4. Both lesions were clustered with the beta/A4 clusters often larger than the Glees SP clusters. Beta/A4 and Glees SP cluster size were not correlated in a tissue. The size of Glees SP clusters was positively correlated with SP density but no correlation could be detected for beta/A4. Hence, the density and spatial pattern of beta/A4 deposits in most tissues did not predict the development of Glees SP.
"The present article reports on a research project that is seeking greater understanding of the prevalence of overcrowding [in the United States] and its causes. First we review the definition of overcrowding and describe differences between renters and owners. Next we document the state-by-state variation in crowding levels among renters. Then we explore some of the factors that may explain this variation."
The size class frequency distribution of a sample of senile plaques (SP) was determined in a total of 20 brain regions from 5 elderly cases of Alzheimer's disease (AD). The purpose of the study was to determine whether a comparison of the frequency distributions could be used to determine the chronology of SP development in the AD brain. SP from 10 microns to a maximum diameter of 160 microns were present in the tissue and the size class frequency distributions were positively skewed. The frequency distributions varied between brain regions in: (1) the size class containing the mode, (2) the degree of positive skew, and (3) the ratio of large to small SP. In most patients the ratio of large to small SP was higher in the hippocampus or adjacent gyrus compared with temporal, parietal and frontal neocortex. If the diameter of a SP reflects its age in the tissue than the data suggest that SP formed earlier either in the hippocampus or adjacent gyrus compared with the other neocortical tissues. However, this conclusion rests on a number of assumptions including: (1) that SP diameter is directly related to age, (2) that SP development occurs at similar rates in different brain regions and (3) that, once formed, SP are not removed from the tissue by astrocytes.
The numerical density of senile plaques (SP) and neurofibrillary tangles (NFT) as revealed by the Glees silver method was compared with SP and NFT revealed by the Gallyas method and with amyloid (A4) deposits in immunostained sections in 6 elderly cases of Alzheimer's disease. The density of NFT was generally greater and A4 lower in tissue from hippocampus compared with the neocortex suggesting that A4 deposition was less important than the degree of paired helical filament (PHF) related damage in the hippocampus. The density of Glees SP was positively correlated Gallyas SP weakly correlated with A4 deposit number. A stepwise multiple regression analysis which included A4 deposit and Gallyas SP density and accounted for 54% of the variation in Glees SP density. Hence, different populations of SP were revealed by the different staining methods. The results suggested that the Glees method may stain a population of SP in a region of cortex where both amyloid deposition and neurofibrillary changes have occurred.
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The oxygen-binding properties of hemoglobin have been studied at 600 microM protein concentration with organic phosphate, and analyzed by a series of different nonlinear least-squares analysis methods to determine whether reports of negligibly small values of the third overall Adair parameter, A3, are consequences of the data or a product of the data analysis. Data from other laboratories were analyzed as well. The single most important factor in creating a measurement that yields a small A3 is the use of equally weighted fitting in the Adair equation, while end-weighted fitting generally yields a larger A3. Endpoint extrapolation is ruled out as a major cause of abnormal A3 values. Monte Carlo simulations of the 600 microM results suggest that, if a small A3 were present, end weighting is at least as sensitive to a small A3 as equal weighting. We conclude that equally weighted fitting of the tetrameric Adair equation is unable to resolve the upper asymptote of the oxygen-binding data, resulting in an unusually small value for A3.
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The integrity of the blood-brain barrier (BBB) was examined in rabbits, in terms of the partition of 99mTc-pertechnetate (99mTcO4-) between brain and blood, following intracarotid injection of hypertonic arabinose, hypertension (168 mm Hg and 10% inspired carbon dioxide), or hypotension (less than 20 mm Hg for 15 min). Corrections were made for changes in tissue blood contents, using chromium-51 as a red cell marker. In control animals the mean brain:blood ratio was 0.038 (range 0.027-0.052). Following arabinose there was a five-fold increase in mean BBB permeability (mean brain:blood ratio 0.192 (0.070-0.378)). There was no change after hypertension and carbon dioxide (mean ratio 0.034) or after hypotension (mean ratio 0.032), despite an increase in cerebral extracellular potassium. Examination of other tissues showed no change in the 99mTcO4- tissue/blood partition in heart muscle in any study but, following hypotension, ratios in the kidney (mean ratio 1.63) and, to a lesser extent, the liver (mean ratio 1.37) had increased, suggesting an abnormality of active transport under these conditions. We conclude that, while 99mTcO4- tissue/blood partitioning revealed osmotic disruption of the BBB, profound hypotension with evidence of brain cell damage did not change BBB permeability to the same marker. Hypotension may influence active transport of this ion in liver and kidney.
Three years ago, an Information Center was put in place at Riverside Methodist Hospitals. The PC-based system supports hundreds of users and communicates with a wide variety of ancillary departments. In addition, ongoing training and support helps ensure that users can maximize the benefits of the available technology.
The Luria-Nebraska Neuropsychological Battery-Children's Revision (LNNBCR) was used to investigate differences between reading disabled (RD) and academically normal children. The groups of 32 subjects each were equivalent with regard to age, sex, race, IQ, and SES of primary wage earner in the family. RD subjects, all of whom had been identified as learning disabled by the school, were moderately to severely impaired in reading, but not in math. Performance of the groups was significantly different on the battery as a whole and on an abbreviated form of the battery which excluded scales composed of items measuring language, reading, and arithmetic. With the abbreviated battery, the largest group differences were found on the Rhythm scale. It is hypothesized that poor performance on the Rhythm scale may reflect impaired auditory processing, which has a negative impact on the development of basic skills required for reading. A stepwise discriminant function analysis using the abbreviated battery correctly identified 84% of subjects. Evidence supporting discriminative validity of two methods of identifying RD children was found. Performance on an Experimental scale composed of nonreading items presumed to assess the integrity of areas of the brain mediating basic reading skills was no worse than on an equivalent randomly selected pool of items. The LNNB-CR may be a potentially valuable instrument for investigating neuropsychological differences between RD and normal children in that it provides relevant information to educators who must formulate remediation programs for RD children.
The steady-state kinetics of cytochrome oxidase exhibit two characteristics that impose severe constraints on any proposed mechanism. The first is the exponential consumption of ferrocytochrome c and the second is the nonhyperbolic dependence of reaction velocity upon the concentration of cytochrome c. Because the reaction mechanism contains at least five, and possibly six, substrates, realistic mechanisms can be very complex and not suitable for analysis by conventional means. We have developed procedures for rapidly establishing whether a postulated mechanism will exhibit the necessary behavior and for calculating the steady-state activity that will result for any mechanism, given values for the individual rate constants and reactant concentrations. The procedures have been used with mechanisms containing up to 40 enzyme species.
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A project to overcome institutional constraints to breast-feeding was implemented in a large municipal hospital. Interventions included staff education, intensive training of a team of physicians and nurses, development of user-tested educational materials, and day and evening staffing by a breast-feeding counselor. A nearby hospital served as a control. Project evaluation entailed chart reviews at the intervention site and a control hospital (n = 812); interviews with mothers during their postpartum hospital stay and at return clinic visits (n = 180); and field observations in all areas of the hospital that provided prenatal, intrapartum, postpartum, and pediatric care. Comparisons of the incidence and pattern of breast-feeding were made before, midway through, and after the project. At the intervention site, the incidence of breast-feeding increased from 15% to 56%, and exclusive breast-feeding for more than 3/4 of feedings increased from 0% to 15%. At the control site, the respective changes were from 28% to 41% and from 5% to 7%. Formula use by breast-feeding women decreased but was nonetheless extensive, and the usual reason given by breast-feeding women for supplementation was a perceived insufficiency of breast milk. This may be due, in part, to the fact that bedside assistance to breast-feeding mothers was not integrated into the routine care provided by staff nurses but was relegated to the lactation nurse/counselors who were not available at all times. It is concluded that the process to overcome institutional constraints to breast-feeding is difficult but feasible. Repeated and extensive professional education helps create the context whereby clinical and administrative staff can reassess routines and policies.
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